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NPI Code Detail

MEDICARE: KATIE MICHELLE COCKRELL

MEDICARE: KATIE MICHELLE COCKRELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseR105870AR

General Provider Information

NPI Number : 1720910813
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIE MICHELLE COCKRELL
Provider Business Mailing Address
First Line : 311 POLE THICKET RD
Second Line :
City : NORMAN
State : AR
Zip : 71960-8746
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1910 MALVERN AVE
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71901-7752
Country : US
Telephone Number : 501-321-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ KATIE MICHELLE COCKRELL ” Practice Location

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